Organization
DIANE G. OLIVER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE G OLIVER M.D. (PRESIDENT)
(775) 782-1536
Entity
Organization
Contact information
Practice address
1107 HIGHWAY 395 S, DEPARTMENT OF PATHOLOGY, GARDNERVILLE, NV 89410
(775) 782-1536
(775) 782-1543
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
09/11/2007
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